Individual provider Active NPI

George Townsend Stocker, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1730841941
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2302822 Issued in MA
Practice address
35 Market St
Lowell, MA 01852-6245
Phone
(978) 459-0389
NPI assigned
Oct 6, 2021
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2302822 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2302822 MA Primary

Addresses

Primary practice location

35 Market St
Lowell, MA 01852-6245

Mailing address

35 Market St
Lowell, MA 01852-6245
Phone (978) 459-0389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220401001254 MA Practitioner - Nurse Practitioner 2466848395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Behavioral Care New England LLCGroup PAC ID 2860836715, 26 clinicians

Practice addresses (Care Compare)

431 Johnson St
North Andover, MA 01845-4721
Phone (978) 296-5595

500 Cummings Ctr
Suite 3100
Beverly, MA 01915-6540
Phone (978) 921-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2302822MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewell, Inc CurrentSince Aug 8, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Mar 25, 2022 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Dec 6, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Dec 6, 2024 Accepting new patients
Bridgewell Counseling PastSince Oct 29, 2023 Accepting new patients

Locations

40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (978) 254-4116

500 Cummings Ctr
Ste 3100
Beverly, MA 01915
Phone (978) 716-6774

140 Wood Rd
#206
Braintree, MA 02184

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone (617) 395-5806

125 Liberty St
Ste 2
Danvers, MA 01923
Phone (978) 750-6820

35 Market St
Ste 2
Lowell, MA 01852
Phone (978) 459-0389

35 Market St
Lowell, MA 01852
Phone (978) 459-0389

4 Mount Royal Ave
Ste 4360
Marlborough, MA 01752

70 Washington St
Ste 404
Salem, MA 01970
Phone (617) 240-7094

Interoperability endpoints

  • Direct secure messaging: george.stocker.1@28623.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1730841941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MARKET ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018526245",
            "telephone_number": "978-459-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MARKET ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018526245",
            "telephone_number": "978-459-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKER",
        "first_name": "GEORGE",
        "middle_name": "TOWNSEND",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2302822",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2302822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.